Christopher Blaine Mikulic, PSYD in Lake Oswego, OR

Christopher Blaine Mikulic, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lake Oswego, Oregon. His current practice location is 4004 Kruse Way Pl Ste 300, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-1500.

Christopher Blaine Mikulic is licensed to practice in Oregon (license number 3693) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548759418.

Contact Information

	Christopher Blaine Mikulic, PSYD
	4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035-2479
	(503) 216-1500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Blaine Mikulic
Gender	Male
Speciality	Psychologist - Clinical
Location	4004 Kruse Way Pl Ste 300, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548759418
Provider Enumeration Date: 05/07/2018
Last Update Date: 02/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4880042910
Enrollment ID: I20231129002115

Medical Identifiers

Medical identifiers for Christopher Blaine Mikulic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548759418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3693 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christopher Blaine Mikulic allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher Blaine Mikulic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christopher Blaine Mikulic, PSYD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Christopher Blaine Mikulic, PSYD 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035-2479 Ph: (503) 216-1500

Reviews and Comments

Psychologist in Lake Oswego, OR

Dr. Doreen Jeanette Dodgen-magee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Monroe Pkwy Ste 280, Lake Oswego, OR 97035 Phone: 503-635-5110
Dr. Justine Kyckelhahn Crawford Williams, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 425 2nd St Ste 200, Lake Oswego, OR 97034 Phone: 971-212-2696 Fax: 503-588-9424
Dr. Joseph P Rhinewine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Centerpointe Dr, Suite 110, Lake Oswego, OR 97035 Phone: 503-977-0400 Fax: 503-619-0076
Dr. Aaron William Lewis, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Monroe Pkwy Ste 280, Lake Oswego, OR 97035 Phone: 503-567-9587 Fax: 503-635-8411
Dr. David Michael Corey, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5285 Meadows Road, Suite 311, Lake Oswego, OR 97035 Phone: 503-620-8050 Fax: 503-620-9650
Ms. Linda Cari Estergard, LCSW, PHD, PC Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3990 Collins Way, Suite 202, Lake Oswego, OR 97035 Phone: 503-675-2830 Fax: 503-675-2852
Dr. Mary Moffit, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr, Lake Oswego, OR 97035 Phone: 503-696-3308 Fax: 503-624-1668

Christopher Blaine Mikulic, PSYD - Medicare Psychologist in Lake Oswego, OR